Nursing 1600 Quiz 2 Practice Questions with Rationales
1. A nurse is collecting data from a 9-month-old infant. Which of the following findings
would require further intervention?
a. Positive Babinski reflex
R The Babinski reflex disappears after 1 year of age. Therefore, a 9-month-old
infant with a positive Babinski reflex is a finding that does not require further
intervention
b. Positive Moro reflex
R The Moro reflex disappears approximately at 3-4 months of age. Therefore, a 9-
month-old infant with a positive Moro reflex is a findings that requires further
intervention
c. Negative Doll’s eye reflex
R A negative Doll’s eye reflex is a normal finding. Therefore, a 9-month-old infant
w/ a negative Doll’s eye reflex is a finding that doesn’t require further
intervention
d. Negative Crawl reflex
R A negative Crawl reflex disappears after 6 months of age. Therefore, a 9-
month-old infant with a negative Crawl reflex is a finding that does not require
further intervention
2. During a routine well child check-up, a nurse is reinforcing teaching to a parent who reports
having difficulty getting a preschool-age child to go to bed. Which of the following statements
indicates to the nurse that the parent understands how to foster a consistent bedtime for the
preschooler?
a. "I will allow my child to cry himself to sleep each night.‖
R While crying for brief periods of time is not harmful to the child, it may
promote a sense of fear and insecurity and discourage the child from going to
sleep.
b. "I will let my child fall asleep with me, and then move him to his own bed.‖
R Allowing the child to routinely come into the parent’s bed fosters the idea
that this will be the norm. The child may then be unwilling to sleep alone.
c. "I will make sure the room is dark when placing my
child in bed.‖ R Darkened rooms may elicit
fear in a preschooler.
d. "I will encourage my child to fall asleep with his favorite toy.‖
R Transitional objects, such as a blanket or toy, will provide a sense of comfort and
allow the child to fall asleep more quickly.
3. A nurse is collecting data about a 6-year-old client. Which statement by the client's parent should
concern the nurse? a. "The teacher says my child has to squint to see the board."
R Squinting to see the board may indicate a vision problem. It is essential to
check children for hearing and vision problems. If not identified and corrected
early, they lead to frustration and a decreased ability to learn.
b. "My child has recently lost both front top teeth."
R Children of this age begin to lose their deciduous teeth to accommodate the
emergence of their permanent teeth. This is an expected finding.
c. "My child often cheats when we play board games."
R Children of this age often cheat to win at games because they feel winning is
, most important. This is an expected finding.
d. "Sometimes my child acts bossy with his friends."
R Children of this age are often bossy and are learning how to interact with
peers. This is an expected finding.
4. A nurse is talking to a parent who is concerned about her hospitalized 5-year-old child's
behavior and asks the nurse if it is "normal." The nurse explains that regression is common in
hospitalized children and may manifest by which of the following?
a. Bedwetting several times a day
R Bedwetting by a preschooler who does not usually do so is a sign of regression in
preschoolers.
b. Crying when the parent leaves
R This behavior is expected with preschoolers and is not a sign of regression.
, c. Eating only food from home
R Preschoolers are reluctant to make changes in their dietary habits when ill.
This is not a sign of regression.
d. Cuddling a threadbare blanket at bedtime
R Transitional objects are helpful in any situation where a child feels anxiety or
stress. This is not a sign of regression.
5. A school nurse is talking with a 13-year-old female at her annual health screening visit. Which
of the following client comments should concern the nurse?
a. "My parents treat me like a baby sometimes."
R This is an expected comment. Adolescence can be a time of great struggle
between independence and dependence for both the child and the parents.
b. "I haven't gotten my period yet, and all my friends have theirs."
R Adolescents constantly compare themselves to their peers and feel very isolated
if there are any differences. Onset of menses varies and this client is still within
the appropriate time frame.
c. "None of the kids at this school like me, and I don't like them either."
R This statement should concern the nurse, as the peer group is critical to
adolescent development and sense of self-esteem. This comment needs to be
explored in greater depth.
d. "There's a pimple on my face, and I worry that everyone will notice it."
R Adolescents constantly compare themselves to their peers and feel very isolated
if there are any differences.
6. The nurse is caring for a hospitalized adolescent. The nurse understands that which major
developmental task is important during adolescence?
a. Building a sense of trust
R Building a sense of trust is not an appropriate developmental task of adolescence.
b. Learning to utilize creative energies
R Learning to utilize creative energies is not a developmental task of adolescence.
c. Learning to defer gratification
R Learning to defer gratification is not an appropriate developmental task
of adolescence. d. Defining a sense of self
R Establishing an identity or defining a sense of self is the major adolescent
developmental task.
7. A nurse is talking to the parents of an 8-month-old who will be hospitalized for surgery. Which of
the following actions should the nurse explain to the parents will help prepare the infant for the
hospital?
a. Buy a new toy and give it to the infant at the hospital.
R This action could be an effective anxiety-reduction strategy with a preschooler or
school-age child, as a new toy could provide the child with distraction. This is not
an appropriate action to take for a hospitalized infant.
b. Bring the infant’s favorite blanket to the hospital.
R Infants of this age have separation anxiety and often need a transitional object,
such as a blanket or toy, that brings them comfort. The transitional object is
especially important when the child is in unfamiliar surroundings, or the parent
is not there to provide comfort. Having the object will help to provide the infant
with a sense of security.
c. Purchase new loose-fitting, soft pajamas for the child.
R This action could be an effective anxiety-reduction strategy with an older
school-age child or adolescent, as new clothes could help with the child’s
, anxiety about body image. This is not an appropriate action to take for a
hospitalized infant.
d. Read the child a story about hospitalization.
R This action could be an effective anxiety-reduction strategy with a preschooler or
school-age child because it will help to prepare the child for a new, anxiety-
producing experience. This is not an appropriate action to take for a hospitalized
infant.
8. A nurse is planning care for a hospitalized 4-year-old child. The nurse should
include providing a a. plastic stethoscope.
1. A nurse is collecting data from a 9-month-old infant. Which of the following findings
would require further intervention?
a. Positive Babinski reflex
R The Babinski reflex disappears after 1 year of age. Therefore, a 9-month-old
infant with a positive Babinski reflex is a finding that does not require further
intervention
b. Positive Moro reflex
R The Moro reflex disappears approximately at 3-4 months of age. Therefore, a 9-
month-old infant with a positive Moro reflex is a findings that requires further
intervention
c. Negative Doll’s eye reflex
R A negative Doll’s eye reflex is a normal finding. Therefore, a 9-month-old infant
w/ a negative Doll’s eye reflex is a finding that doesn’t require further
intervention
d. Negative Crawl reflex
R A negative Crawl reflex disappears after 6 months of age. Therefore, a 9-
month-old infant with a negative Crawl reflex is a finding that does not require
further intervention
2. During a routine well child check-up, a nurse is reinforcing teaching to a parent who reports
having difficulty getting a preschool-age child to go to bed. Which of the following statements
indicates to the nurse that the parent understands how to foster a consistent bedtime for the
preschooler?
a. "I will allow my child to cry himself to sleep each night.‖
R While crying for brief periods of time is not harmful to the child, it may
promote a sense of fear and insecurity and discourage the child from going to
sleep.
b. "I will let my child fall asleep with me, and then move him to his own bed.‖
R Allowing the child to routinely come into the parent’s bed fosters the idea
that this will be the norm. The child may then be unwilling to sleep alone.
c. "I will make sure the room is dark when placing my
child in bed.‖ R Darkened rooms may elicit
fear in a preschooler.
d. "I will encourage my child to fall asleep with his favorite toy.‖
R Transitional objects, such as a blanket or toy, will provide a sense of comfort and
allow the child to fall asleep more quickly.
3. A nurse is collecting data about a 6-year-old client. Which statement by the client's parent should
concern the nurse? a. "The teacher says my child has to squint to see the board."
R Squinting to see the board may indicate a vision problem. It is essential to
check children for hearing and vision problems. If not identified and corrected
early, they lead to frustration and a decreased ability to learn.
b. "My child has recently lost both front top teeth."
R Children of this age begin to lose their deciduous teeth to accommodate the
emergence of their permanent teeth. This is an expected finding.
c. "My child often cheats when we play board games."
R Children of this age often cheat to win at games because they feel winning is
, most important. This is an expected finding.
d. "Sometimes my child acts bossy with his friends."
R Children of this age are often bossy and are learning how to interact with
peers. This is an expected finding.
4. A nurse is talking to a parent who is concerned about her hospitalized 5-year-old child's
behavior and asks the nurse if it is "normal." The nurse explains that regression is common in
hospitalized children and may manifest by which of the following?
a. Bedwetting several times a day
R Bedwetting by a preschooler who does not usually do so is a sign of regression in
preschoolers.
b. Crying when the parent leaves
R This behavior is expected with preschoolers and is not a sign of regression.
, c. Eating only food from home
R Preschoolers are reluctant to make changes in their dietary habits when ill.
This is not a sign of regression.
d. Cuddling a threadbare blanket at bedtime
R Transitional objects are helpful in any situation where a child feels anxiety or
stress. This is not a sign of regression.
5. A school nurse is talking with a 13-year-old female at her annual health screening visit. Which
of the following client comments should concern the nurse?
a. "My parents treat me like a baby sometimes."
R This is an expected comment. Adolescence can be a time of great struggle
between independence and dependence for both the child and the parents.
b. "I haven't gotten my period yet, and all my friends have theirs."
R Adolescents constantly compare themselves to their peers and feel very isolated
if there are any differences. Onset of menses varies and this client is still within
the appropriate time frame.
c. "None of the kids at this school like me, and I don't like them either."
R This statement should concern the nurse, as the peer group is critical to
adolescent development and sense of self-esteem. This comment needs to be
explored in greater depth.
d. "There's a pimple on my face, and I worry that everyone will notice it."
R Adolescents constantly compare themselves to their peers and feel very isolated
if there are any differences.
6. The nurse is caring for a hospitalized adolescent. The nurse understands that which major
developmental task is important during adolescence?
a. Building a sense of trust
R Building a sense of trust is not an appropriate developmental task of adolescence.
b. Learning to utilize creative energies
R Learning to utilize creative energies is not a developmental task of adolescence.
c. Learning to defer gratification
R Learning to defer gratification is not an appropriate developmental task
of adolescence. d. Defining a sense of self
R Establishing an identity or defining a sense of self is the major adolescent
developmental task.
7. A nurse is talking to the parents of an 8-month-old who will be hospitalized for surgery. Which of
the following actions should the nurse explain to the parents will help prepare the infant for the
hospital?
a. Buy a new toy and give it to the infant at the hospital.
R This action could be an effective anxiety-reduction strategy with a preschooler or
school-age child, as a new toy could provide the child with distraction. This is not
an appropriate action to take for a hospitalized infant.
b. Bring the infant’s favorite blanket to the hospital.
R Infants of this age have separation anxiety and often need a transitional object,
such as a blanket or toy, that brings them comfort. The transitional object is
especially important when the child is in unfamiliar surroundings, or the parent
is not there to provide comfort. Having the object will help to provide the infant
with a sense of security.
c. Purchase new loose-fitting, soft pajamas for the child.
R This action could be an effective anxiety-reduction strategy with an older
school-age child or adolescent, as new clothes could help with the child’s
, anxiety about body image. This is not an appropriate action to take for a
hospitalized infant.
d. Read the child a story about hospitalization.
R This action could be an effective anxiety-reduction strategy with a preschooler or
school-age child because it will help to prepare the child for a new, anxiety-
producing experience. This is not an appropriate action to take for a hospitalized
infant.
8. A nurse is planning care for a hospitalized 4-year-old child. The nurse should
include providing a a. plastic stethoscope.
